AMBULANCE bosses are warning that patients may have to wait four hours for an ambulance and the service may not send one at all as staff go on strike.

West Midlands Ambulance Service is expecting a large number of staff to walk-out between 7am and 11am on Monday as part of a national dispute with the Government over pay. The concern from bosses is that the level of disruption will be considerably bigger than that experienced on Monday, October 13.

A service spokesperson said this will result in significant delays of up to four hours in an ambulance arriving at less serious cases, or to cases such as elderly people who have fallen with a broken hip, abdominal pain or headaches. In some cases which are not genuinely life-threatening, the difficult decision will have to be made not to send an ambulance at all.

The trust has agreed with local unions measures to preserve a service to the patients most in need but is appealing to the public not to call 999 unless it is absolutely necessary. If you call 999 during the strike, unless it is genuinely life-threatening, you could put the lives of those in greatest need at risk.

Firefighters from Hereford and Worcester Fire and Rescue Service were also involved in strike action earlier this month following a row over pensions.

Assistant Chief Ambulance Officer Mark Gough said: “There will be significant delays, people may have to wait up to four hours or there may not be an ambulance response at all for the minor and non-life-threatening calls that we receive. For example, people who dial 999 and are unsure of what the problem is, people who dial 999 with a minor fracture such as a broken wrist or a sprain, non-severe blood loss, abdominal pain or generally feeling unwell. These are the types of 999 calls that may not receive a response immediately or at all.”

A ballot of Unison, Unite and GMB members voted to take industrial action as a result of the government’s decision to not apply a 1 per cent pay award in full to all NHS staff in accordance with the national public sector pay review body’s recommendations.

In addition to the four hours of strike action on Monday, members of Unison and GMB will also take action short of a strike for the rest of the week. Members of Unite will work to rule until January 18.

This additional action will reduce the number of ambulances and rapid response vehicles available to respond to 999 emergencies across the West Midlands. This will mean slower responses during this time.

West Midlands Ambulance Service staff who are members of any of those three unions have the right to take part in industrial action, including strike action.